Transcription of Knee ACL Reconstruction Post-Operative Guidelines
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Copyright 2019-2020 by Hospital for Special Surgery. All rights reserved. Page 1 of 22 KNEE ANTERIOR CRUCIATE LIGAMENT (ACL) Reconstruction Post-Operative Guidelines The following anterior cruciate ligament Reconstruction (ACLR) Guidelines were developed by the HSS Rehabilitation. Progression is both criteria-based and patient specific. Phases and time frames are designed to give the clinician a general sense of progression. Progression through the phases may vary in individuals with concomitant injuries/procedures such as graft choice, donor site, chondral injury, meniscal injury, and ligament injury. These Guidelines are specific to bone-tendon-bone grafts. For hamstring grafts, quadricep tendon grafts, allografts, and concomitant surgeries, see appendix 1. Follow physician modifications as prescribed. Copyright 2019-2020 by Hospital for Special Surgery.
• Quadriceps re-education: quadriceps sets with towel under knee with neuromuscular electric stimulation (NMES) or biofeedback • Patellar mobilization • AROM knee flexion to tolerance o Progression from seated to standing (wall slides) to bike ROM • AAROM knee extension to 0° • Straight leg raises (SLR) PRE’s in all planes
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